Sunday, December 31, 2006

common misdiagnoses

In childhood, the commonest misdiagnosis for DID is ADHD. Childhood Adjustment Disorder is probably the second most frequent misdiagnosis.

Thirty years ago, paranoid schizophrenia appears to have been the most common misdiagnosis for adult patients with DID.

Currently, bipolar affective disorder (formerly called manic-depression) is the commonest misdiagnosis for patients with DID. Obsessive-compulsive disorder, borderline personality disorder, panic disorder, anxiety disorder, temporal lobe epilepsy, and dysthymia (depression lasting more than six months) are other examples of misdiagnoses. All of these conditions, and others, may be co-morbid, coexist with DID, but represent misdiagnoses in the presence of DID. Adult ADHD is becoming increasingly popular as a misdiagnosis.

PTSD is an accurate diagnosis in so far as PTSD is often a component of DID, yet the main diagnostic and therapeutic point has been missed if DID is not also recognized when present.
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